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A case of double perforation of eyeglobe during local anesthesia for maxillary sinus surgery Chika Homma 1 , Masahiro Kaneda 1 1Dept of Ophthalmol,Tohno Kousei Hosp pp.1665-1668
Published Date 2006/9/15
DOI https://doi.org/10.11477/mf.1410100936
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Abstract. Purpose:To report a case of double perforation of the eyeglobe during local anesthesia for maxillary sinus surgery. Case:A 36-year-old female received surgery for right acute maxillary sinusitis. To relieve pain in the upper portion of maxillary sinus during surgery,a 23 G catheran needle was inserted beneath the mucous membrane in the upper wall of maxillary sinus containing 1% lidocaine with epinephrine. The needle perforated the orbital floor and induced double perforation of the right eyeglobe. This accident was followed by chemosis and mydriasis with no light reaction. Visual acuity decreased to 0.03. The site of perforation was treated by laser photocoagulation of the fundus. Visual acuity improved to 1.2 the following day. Light reaction was positive but was delayed. She has been doing ever since. Conclusion:Accidental perforation of orbital floor is a liability during parasinus surgery.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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